• Senior Medical Assistant - CV Surgery - (Medical…

    Houston Methodist (Houston, TX)
    …delegated medical assistant level tasks under the direct supervision of a Physician and/or Registered Nurse for assigned patient populations, for providing high ... patient care which is under the direction of a physician and within the scope of a medical assistant....visits, PCP visits, dieticians, diabetes educators, etc. Ensures patient utilization and activation of MyChart. + Provides care coordination… more
    Houston Methodist (11/20/25)
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  • Patient Care Coordinator - FT Weight Management

    Houston Methodist (Houston, TX)
    …Coordinator performs duties including but not limited to coordinating needed physician referrals and appointments, is responsible for obtaining and recording ... performs duties including but not limited to coordinating needed physician referrals and appointments, assisting with department initiatives, demonstrating… more
    Houston Methodist (11/13/25)
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  • Medical Director - Nat'l OP Medicare

    Humana (Austin, TX)
    …scope. The Medical Director may speak with contracted external physicians, physician groups, facilities, or community groups to support regional market priorities, ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or… more
    Humana (12/04/25)
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  • Nurse Reviewer I

    Elevance Health (Houston, TX)
    …outside of the client health plan network. + Notifies ordering physician or rendering service provider office of the preauthorization determination decision. ... ambulatory or hospital setting or minimum of 1 year of prior utilization management, medical management and/or quality management, and/or call center experience; or… more
    Elevance Health (12/04/25)
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  • Clinical Manager Home Health

    CenterWell (Austin, TX)
    …care plans and interpreting patient needs, while adhering to Company, physician , and/or health facility procedures/policies. + Manages the assignment of caregivers. ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
    CenterWell (12/02/25)
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  • Account Manager, Coronary - North

    Abbott (Houston, TX)
    …includes influencing stakeholders within the hospital, driving product utilization , support on contracting, relationship development, relationship management, market ... on clinical differentiation in the procedure, value proposition, product launch, physician onboarding, early case coverage and training. + Influence stakeholders… more
    Abbott (11/25/25)
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  • Manager, Medical Economics (New York Health Plan)

    Molina Healthcare (Austin, TX)
    …and Finance team through analyzing key business issues related to cost, utilization and revenue for multiple Molina Healthcare products. Analyzes data and dashboard ... medical facilities, healthcare vendor, commercial health insurance company, large physician practices, managed care organization, etc.) + Strong Knowledge of… more
    Molina Healthcare (11/21/25)
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  • Senior Decision Support Consultant

    Highmark Health (Austin, TX)
    …business relationships, the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The role involves ... nature for profiling providers, assessing patient outcomes, studying cost and utilization trends and quantitative projections of industry and competitor performance,… more
    Highmark Health (11/14/25)
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  • RN Case Manager PRN Inpatient Rehab

    HCA Healthcare (Dallas, TX)
    …and patient throughput while supporting a balance of optimal care and appropriate resource utilization . What You Will Do In This Role: + The Case Manager will assist ... regulation pertaining to federally funded programs as they relate to utilization review, discharge planning and financial reimbursement. + Conducts initial… more
    HCA Healthcare (11/08/25)
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  • Medical Director - Medicaid N. Central

    Humana (Austin, TX)
    …The Medical Director may occasionally speak with contracted external physicians, physician groups, facilities, or community groups to support regional market ... with prior experience participating in teams focusing on quality management, utilization management, case management, discharge planning and/or home health or… more
    Humana (10/25/25)
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